Provider Demographics
NPI:1013894872
Name:MURPHY, LANA RAE HANSEN (FNP-BC)
Entity type:Individual
Prefix:
First Name:LANA RAE
Middle Name:HANSEN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:RAE
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 8836
Mailing Address - Street 2:
Mailing Address - City:MAMMOTH LAKES
Mailing Address - State:CA
Mailing Address - Zip Code:93546-8801
Mailing Address - Country:US
Mailing Address - Phone:760-709-1022
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 8836
Practice Address - Street 2:
Practice Address - City:MAMMOTH LAKES
Practice Address - State:CA
Practice Address - Zip Code:93546-8801
Practice Address - Country:US
Practice Address - Phone:760-709-1022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036631363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily